The Impact of Coronary Endarterectomy on Early Outcomes of Coronary Artery Bypass Grafting

KUMBASAR, Ulaş; HATEMİ, Ali Can; ÖZGÖL, İlhan; TONGUT, Aybola; BOSTAN, Cem; BİCAGHAN SUNGUR, Burcu Işık; Karabulut, Umut

The Impact of Coronary Endarterectomy on Early Outcomes of Coronary Artery Bypass Grafting

Ulaş KUMBASAR, (Ahi Evran Üniversitesi, Eğitim ve Araştırma Hastanesi, Kalp ve Damar Cerrahisi Anabilim Dalı, Kırşehir, Türkiye)

İlhan ÖZGÖL, (İstanbul Üniversitesi, Kardiyoloji Enstitüsü, Kalp ve Damar Cerrahisi Anabilim Dalı, İstanbul, Türkiye)

Ali Can HATEMİ, (İstanbul Üniversitesi, Kardiyoloji Enstitüsü, Kalp ve Damar Cerrahisi Anabilim Dalı, İstanbul, Türkiye)

Burcu Işık BİCAGHAN SUNGUR, (İstanbul Üniversitesi, Kardiyoloji Enstitüsü, Kalp ve Damar Cerrahisi Anabilim Dalı, İstanbul, Türkiye)

Aybola TONGUT, (İstanbul Üniversitesi, Kardiyoloji Enstitüsü, Kalp ve Damar Cerrahisi Anabilim Dalı, İstanbul, Türkiye)

Cem BOSTAN, (İstanbul Üniversitesi, Kardiyoloji Enstitüsü, Kalp ve Damar Cerrahisi Anabilim Dalı, İstanbul, Türkiye)

Umut KARABULUT (İstanbul Üniversitesi, Kardiyoloji Enstitüsü, Kalp ve Damar Cerrahisi Anabilim Dalı, İstanbul, Türkiye)

ORTADOĞU TIP DERGİSİ

1 0

Yıl: 2012 Cilt: 4 Sayı: 4 Sayfa Aralığı: 160 - 164 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

The Impact of Coronary Endarterectomy on Early Outcomes of Coronary Artery Bypass Grafting

Öz:

Amaç: Koroner arter bypass cerrahisi (KABC) esnasında koroner endarterektominin (KE) etkileri konusu tartışmalı- dır. Bu çalışma sadece KABC uygulanan hastalarla KE ile eş zamanlı KABC uygulanan hastalarin erken klinik so- nuçlarını karşılaştirmayi amaçlar. Yöntem ve Gereçler: KABC ile eşzamanlı KE uygulanan 69 hasta ile sadece KABC uygulanan 69 hasta karşılaştı- rılmıştır.Bulgular: Karşılaştırılan gruplar arasinda operasyon öncesi yapılan test sonuçları, demografik özellikler ve risk fak- törleri benzerdir. KE grubunda prosedürün kompleks olmasından dolayı kardiyopulmoner bypass (176.26±51.95 vs.136.81±43.97 dakika, p=0.0001) ve aort klemp süresi (104.72±31.29 vs. 75.7±26.78 dakika, p=0.0001) daha uzundur. Major postoperatif komplikasyonların (Aritmiler, miyokard infarktüsü, serebrovasküler olay, enfeksiyöz ve pul- moner) insidansı, postoperatif total drenaj miktarı, entübasyon zamanı, yoğun bakım ve hastanede kalış süreleri grup- lar arasında benzerdi. KE grubunda intraaortik balon pompası uygulanması daha sık görüldü (5.8% ve 0%, p=0.042).Sonuç: KE grubunda operatif mortalite ve morbidite sadece KABC uygulanan grupla karşılaştırılabilir düzeydedir.Bu nedenle, ileri evre koroner arter hastalığı olan hastalarda komplet revaskülarizasyonun yapılabilmesi için KE kabuledilebilir ve uygulanabilir bir alternatiftir.

Anahtar Kelime:

Konular: Cerrahi

Koroner Arter Bypass Cerrahisinde Koroner Endarterektominin Erken Dönem Sonuçlara Etkisi

Öz:

Aim:The effects of coronary artery endarterectomy (CE) during coronary artery bypass grafting (CABG) have beendebated. In this study we sought to examine the present day early clinical outcomes of patients undergoing CABGwith CE compared to patients undergoing CABG alone. Material And Methods: Patients undergoing isolated CABG operation from 1991 to 2010 were retrospectively re- viewed and 69 consecutive patients undergoing isolated CABG with CE were compared with 69 patients undergoingCABG alone. Results: Pre-operative demographics and risk factors were similar between the groups. The complexity of the proce- dure in the CE group was associated with longer cardiopulmonary bypass (CPB) time (176.26±51.95 vs. 136.81±43.97minutes, p=0.0001) and aortic cross-clamp times (104.72±31.29 vs. 75.7±26.78 minutes, p=0.0001). The incidenceof major post-operative complications (arrhythmias, myocardial infarction (MI), cerebrovascular accident (CVA), in- fectious and pulmonary complications), post-operative total drainage, intubation time, intensive care unit (ICU) andhospital stay times were also similar between the groups. There was a higher incidence of intra aortic balloon pump(IABP) insertion in patients undergoing CE compared to CABG alone (5.8% vs. 0%, p=0.042). Conclusion:The operative mortality and major morbidity in the CE group were comparable to CABG alone. There- fore, CE should be considered an acceptable adjunct to CABG for patients with end stage coronary disease to achievecomplete revascularization.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	KUMBASAR U, ÖZGÖL İ, HATEMİ A, BİCAGHAN SUNGUR B, TONGUT A, BOSTAN C, Karabulut U (2012). The Impact of Coronary Endarterectomy on Early Outcomes of Coronary Artery Bypass Grafting. , 160 - 164.
Chicago	KUMBASAR Ulaş,ÖZGÖL İlhan,HATEMİ Ali Can,BİCAGHAN SUNGUR Burcu Işık,TONGUT Aybola,BOSTAN Cem,Karabulut Umut The Impact of Coronary Endarterectomy on Early Outcomes of Coronary Artery Bypass Grafting. (2012): 160 - 164.
MLA	KUMBASAR Ulaş,ÖZGÖL İlhan,HATEMİ Ali Can,BİCAGHAN SUNGUR Burcu Işık,TONGUT Aybola,BOSTAN Cem,Karabulut Umut The Impact of Coronary Endarterectomy on Early Outcomes of Coronary Artery Bypass Grafting. , 2012, ss.160 - 164.
AMA	KUMBASAR U,ÖZGÖL İ,HATEMİ A,BİCAGHAN SUNGUR B,TONGUT A,BOSTAN C,Karabulut U The Impact of Coronary Endarterectomy on Early Outcomes of Coronary Artery Bypass Grafting. . 2012; 160 - 164.
Vancouver	KUMBASAR U,ÖZGÖL İ,HATEMİ A,BİCAGHAN SUNGUR B,TONGUT A,BOSTAN C,Karabulut U The Impact of Coronary Endarterectomy on Early Outcomes of Coronary Artery Bypass Grafting. . 2012; 160 - 164.
IEEE	KUMBASAR U,ÖZGÖL İ,HATEMİ A,BİCAGHAN SUNGUR B,TONGUT A,BOSTAN C,Karabulut U "The Impact of Coronary Endarterectomy on Early Outcomes of Coronary Artery Bypass Grafting." , ss.160 - 164, 2012.
ISNAD	KUMBASAR, Ulaş vd. "The Impact of Coronary Endarterectomy on Early Outcomes of Coronary Artery Bypass Grafting". (2012), 160-164.

APA	KUMBASAR U, ÖZGÖL İ, HATEMİ A, BİCAGHAN SUNGUR B, TONGUT A, BOSTAN C, Karabulut U (2012). The Impact of Coronary Endarterectomy on Early Outcomes of Coronary Artery Bypass Grafting. ORTADOĞU TIP DERGİSİ, 4(4), 160 - 164.
Chicago	KUMBASAR Ulaş,ÖZGÖL İlhan,HATEMİ Ali Can,BİCAGHAN SUNGUR Burcu Işık,TONGUT Aybola,BOSTAN Cem,Karabulut Umut The Impact of Coronary Endarterectomy on Early Outcomes of Coronary Artery Bypass Grafting. ORTADOĞU TIP DERGİSİ 4, no.4 (2012): 160 - 164.
MLA	KUMBASAR Ulaş,ÖZGÖL İlhan,HATEMİ Ali Can,BİCAGHAN SUNGUR Burcu Işık,TONGUT Aybola,BOSTAN Cem,Karabulut Umut The Impact of Coronary Endarterectomy on Early Outcomes of Coronary Artery Bypass Grafting. ORTADOĞU TIP DERGİSİ, vol.4, no.4, 2012, ss.160 - 164.
AMA	KUMBASAR U,ÖZGÖL İ,HATEMİ A,BİCAGHAN SUNGUR B,TONGUT A,BOSTAN C,Karabulut U The Impact of Coronary Endarterectomy on Early Outcomes of Coronary Artery Bypass Grafting. ORTADOĞU TIP DERGİSİ. 2012; 4(4): 160 - 164.
Vancouver	KUMBASAR U,ÖZGÖL İ,HATEMİ A,BİCAGHAN SUNGUR B,TONGUT A,BOSTAN C,Karabulut U The Impact of Coronary Endarterectomy on Early Outcomes of Coronary Artery Bypass Grafting. ORTADOĞU TIP DERGİSİ. 2012; 4(4): 160 - 164.
IEEE	KUMBASAR U,ÖZGÖL İ,HATEMİ A,BİCAGHAN SUNGUR B,TONGUT A,BOSTAN C,Karabulut U "The Impact of Coronary Endarterectomy on Early Outcomes of Coronary Artery Bypass Grafting." ORTADOĞU TIP DERGİSİ, 4, ss.160 - 164, 2012.
ISNAD	KUMBASAR, Ulaş vd. "The Impact of Coronary Endarterectomy on Early Outcomes of Coronary Artery Bypass Grafting". ORTADOĞU TIP DERGİSİ 4/4 (2012), 160-164.